Richard R Kopelke in Wisconsin Rapids - Addiction (substance Use Disorder)
Richard R Kopelke - NPI 1366518706
Richard R Kopelke is a Addiction (substance Use Disorder) in Wisconsin Rapids, Wisconsin. Richard R Kopelke practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Richard R Kopelke is 1366518706. The last update date is 2007-07-08.
Richard R Kopelke's current location address is 2611 12th St S, Wisconsin Rapids, Wisconsin. You can contact this provider via phone number 7154218800 and fax number 7154212266. The mailing address for Richard R Kopelke is 2611 12th St S, Wisconsin Rapids, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard R Kopelke |
|---|---|
| Address | 2611 12th St S, Wisconsin Rapids, Wisconsin |
| Phone Number | 7154218800 |
| Fax Number | 7154212266 |
| Sole Proprietor | N |
| Credentials | CADCIII |
NPI Number Detail
| NPI Number | 1366518706 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2611 12th St S |
|---|---|
| City | Wisconsin Rapids |
| State | Wisconsin (WI) |
| Post Code | 54494 |
| Phone Number | 7154218800 |
| Fax Number | 7154212266 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1289 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39332500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Richard R Kopelke by the Centers for Medicare & Medicaid Services?
The Richard R Kopelke has been assigned the NPI (National Provider Identifier) 1366518706 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Richard R Kopelke is physically located?
The Richard R Kopelke is situated at the following address: 2611 12Th St S, Wisconsin Rapids, WI 54494.
What is Richard R Kopelke's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Richard R Kopelke is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did the Richard R Kopelke receive the assignment of its 1366518706 from the Centers for Medicare & Medicaid Services?
The Richard R Kopelke was issued its 1366518706 by the Centers for Medicare & Medicaid Services on 2006-11-28.
When was the information regarding Richard R Kopelke, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Richard R Kopelke, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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